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Unlike enrolling in a formal clinical trial (which has extensive consent forms explaining experimental status), patients at wellness clinics might assume if a doctor offered it, it must be safe or allowed. Such misunderstandings could lead to feelings of betrayal and litigation if things go wrong

fructosamine or glycated albumin may also be considered as short-term alternatives when HbA1c is unreliable Document the timing of B12 treatment initiation in the patient's records to contextualise any HbA1c results obtained during this period This approach ensures that clinical decisions regarding diabetes diagnosis or medication adjustment are based on accurate data rather than a transiently distorted HbA1c result